Causality between COVID‐19 and female reproductive function: A Mendelian randomization study

Abstract Coronavirus disease 2019 (COVID‐19) has experienced a global pandemic, and currently, the emergence of its variants has posed challenges in terms of prevention and treatment. Nonetheless, the effect of COVID‐19 infection on female reproductive function is unclear. This study aimed to system...

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Main Authors: Bowen Zhang, Jixue Xu, Junzhi Liang, Mingjun Hao, Yuexin Yu, Jingzan Wei, Yuanyuan Fang, Zhijing Na, Da Li
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:MedComm – Future Medicine
Subjects:
Online Access:https://doi.org/10.1002/mef2.55
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author Bowen Zhang
Jixue Xu
Junzhi Liang
Mingjun Hao
Yuexin Yu
Jingzan Wei
Yuanyuan Fang
Zhijing Na
Da Li
author_facet Bowen Zhang
Jixue Xu
Junzhi Liang
Mingjun Hao
Yuexin Yu
Jingzan Wei
Yuanyuan Fang
Zhijing Na
Da Li
author_sort Bowen Zhang
collection DOAJ
description Abstract Coronavirus disease 2019 (COVID‐19) has experienced a global pandemic, and currently, the emergence of its variants has posed challenges in terms of prevention and treatment. Nonetheless, the effect of COVID‐19 infection on female reproductive function is unclear. This study aimed to systematically evaluate for the first time the causal effect of COVID‐19 on female reproductive function. Genetic correlations were assessed using linkage disequilibrium score regression. Mendelian randomization (MR) analysis was performed using summary statistics of two variables, including COVID‐19 severity and eight female reproductive traits. The three degrees of severity had genetically significant associations with sex hormone‐binding globulin (SHBG) concentrations (rg = –0.153, p = 0.004; rg = –0.187, p < 0.001; rg = –0.180, p = 0.003). Additionally, MR showed that SHBG (β = –0.020, p = 0.040) and total testosterone levels (β = –0.061, p = 0.009) followed a decreasing trend, as the COVID‐19 infection higher. No significant genetic association was found between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility. Simultaneously, MR found no causal relationships between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility (all p > 0.05). In conclusion, COVID‐19 was causally associated with lower SHBG and total testosterone concentrations, offering invaluable insights that will help guide clinical decision‐making.
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spelling doaj.art-5775bae27d764f8d97250279a21a0da32023-09-26T07:20:27ZengWileyMedComm – Future Medicine2769-64562023-06-0123n/an/a10.1002/mef2.55Causality between COVID‐19 and female reproductive function: A Mendelian randomization studyBowen Zhang0Jixue Xu1Junzhi Liang2Mingjun Hao3Yuexin Yu4Jingzan Wei5Yuanyuan Fang6Zhijing Na7Da Li8Department of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaThe First Clinical College China Medical University Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaReproductive Medicine Center General Hospital of Northern Theater Command Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine Shengjing Hospital of China Medical University Shenyang ChinaAbstract Coronavirus disease 2019 (COVID‐19) has experienced a global pandemic, and currently, the emergence of its variants has posed challenges in terms of prevention and treatment. Nonetheless, the effect of COVID‐19 infection on female reproductive function is unclear. This study aimed to systematically evaluate for the first time the causal effect of COVID‐19 on female reproductive function. Genetic correlations were assessed using linkage disequilibrium score regression. Mendelian randomization (MR) analysis was performed using summary statistics of two variables, including COVID‐19 severity and eight female reproductive traits. The three degrees of severity had genetically significant associations with sex hormone‐binding globulin (SHBG) concentrations (rg = –0.153, p = 0.004; rg = –0.187, p < 0.001; rg = –0.180, p = 0.003). Additionally, MR showed that SHBG (β = –0.020, p = 0.040) and total testosterone levels (β = –0.061, p = 0.009) followed a decreasing trend, as the COVID‐19 infection higher. No significant genetic association was found between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility. Simultaneously, MR found no causal relationships between COVID‐19 infection and total estradiol concentrations, menstruation, and female infertility (all p > 0.05). In conclusion, COVID‐19 was causally associated with lower SHBG and total testosterone concentrations, offering invaluable insights that will help guide clinical decision‐making.https://doi.org/10.1002/mef2.55causalityCOVID‐19female reproductive functionlinkage disequilibrium score regressionMendelian randomization
spellingShingle Bowen Zhang
Jixue Xu
Junzhi Liang
Mingjun Hao
Yuexin Yu
Jingzan Wei
Yuanyuan Fang
Zhijing Na
Da Li
Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
MedComm – Future Medicine
causality
COVID‐19
female reproductive function
linkage disequilibrium score regression
Mendelian randomization
title Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
title_full Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
title_fullStr Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
title_full_unstemmed Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
title_short Causality between COVID‐19 and female reproductive function: A Mendelian randomization study
title_sort causality between covid 19 and female reproductive function a mendelian randomization study
topic causality
COVID‐19
female reproductive function
linkage disequilibrium score regression
Mendelian randomization
url https://doi.org/10.1002/mef2.55
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